Individual
REBECCA LOU SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S
Contact information
Practice address
1075 S CHECK ST STE 208, WASILLA, AK 99654-8067
(907) 521-8504
Mailing address
1075 S CHECK ST STE 208, WASILLA, AK 99654-8067
(907) 521-8504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
182168
AK
101YP1600X
Pastoral Counselor
Primary
13530
FL
Other
Enumeration date
11/15/2019
Last updated
04/28/2026
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